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From the 11/26/2021 release of VAERS data:

This is VAERS ID 80104

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Case Details

VAERS ID: 80104 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: California  
Vaccinated:1995-12-09
Onset:0000-00-00
Submitted: 1995-12-11
Entered: 1995-12-15
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA433A6 / 1 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. K0225 / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4958021 / 2 LA / IM
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 137702A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp same sxs w/dose #1 typhoid~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax 9DEC & devel red rash, itchy, flat x/where pt has scratched it; T97.6;


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